Misty April Robinson Declark, M.S., L.M.F.T

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00001939 Issued in WA

Practice address

343 15TH Ave
Kirkland, WA 98033-5508

Phone

(425) 803-0907

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334448000000",
    "number": "1083747539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 NE 120TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345824",
            "telephone_number": "425-820-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 15TH AVE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335508",
            "telephone_number": "425-803-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLARK",
        "first_name": "MISTY",
        "middle_name": "APRIL ROBINSON",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Dean, M.D.
• Matthew Dean, DMD
• Chyna Deboer
• Deborah a Barto MD PC
• Ruth Decker
• Scott Marshall Decouto, L.AC.
• Kaitlyn Jo Defrates
• Stephanie Defreitas
• Andrey Dekhtyar
• Daniela Del Moral, LMHC

• Marriage & Family Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.